Southeastern Medical Center
1341 North Clark Street, Cambridge, OH · OhioHealth · · NPI 1053342816
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| L/s ratio fetal lung CPT 83661 | $261.95 | $403.00 | $21.99 – $22.87 | 2 |
| Lumbar diskogram s&i CPT 72295 | $3,316.30 | $5,102.00 | $1,847.43 – $1,921.33 | 3 |
| Lumbar Spinal Fusion (single level) CPT 22612 | not published | not published | $16,588.34 – $17,251.88 | 3 |
| Lumizyme injection HCPCS J0221 | not published | not published | $206.59 – $1,310.66 | 4 |
| Lung function test (mbc/mvv) CPT 94200 | not published | not published | $55.81 – $58.04 | 3 |
| Lung Function Test (Spirometry) CPT 94010 | $226.20 | $348.00 | $204.28 – $212.45 | 3 |
| Lung perfusion imaging CPT 78580 | $624.00 | $960.00 | $378.21 – $393.34 | 3 |
| Lurbinectedin 4 mg intravenous solution HCPCS J9223 | not published | not published | $207.13 – $1,331.85 | 4 |
| Luspatercept-aamt 25 mg subcutaneous solution HCPCS J0896 | $40,040.94 | $61,601.45 | $41.98 – $268.32 | 4 |
| Lutetium lu 177 dotatat ther HCPCS A9513 | not published | not published | $316.99 – $1,907.43 | 4 |
| Lutetium lu 177 vipivotide HCPCS A9607 | not published | not published | $255.84 – $1,545.90 | 4 |
| Lvad shower bag heartmate HCPCS Q0501 | $584.34 | $898.98 | not published | 0 |
| Lyme dis dna dir probe CPT 87475 | not published | not published | $20.05 – $20.85 | 2 |
| Lymphatics/lymph node imaging CPT 78195 | $937.30 | $1,442.00 | $513.69 – $534.24 | 3 |
| Lymphocyte culture mixed CPT 86821 | not published | not published | $36.56 – $38.02 | 2 |
| Lymphocyte transformation mitogen CPT 86353 | $433.55 | $667.00 | $49.03 – $50.99 | 2 |
| Lymphocytotoxicity assay CPT 86805 | not published | not published | $189.51 – $197.09 | 2 |
| Lymphocytotoxicity assay CPT 86806 | $841.75 | $1,295.00 | $47.59 – $49.49 | 2 |
| Lymph vessel x-ray arm/leg CPT 75801 | $753.35 | $1,159.00 | $593.48 – $617.22 | 3 |
| Lymph vessel x-ray arms/legs CPT 75803 | $1,814.15 | $2,791.00 | $1,489.27 – $1,548.84 | 3 |
| Lymph vessel x-ray trunk CPT 75805 | $2,107.95 | $3,243.00 | $2,987.22 – $3,106.71 | 3 |
| Lymph vessel x-ray trunk CPT 75807 | $3,080.35 | $4,739.00 | $2,987.22 – $3,106.71 | 3 |
| Lysis of labial adhesions CPT 56441 | not published | not published | $3,062.57 – $3,185.07 | 3 |
| Lysis penil circumic lesion CPT 54162 | not published | not published | $1,977.66 – $2,056.77 | 3 |
| Lyumjev for insulin pump use HCPCS J1813 | not published | not published | $26.31 – $100.62 | 2 |
| Macroscopic exam arthropod CPT 87168 | $77.35 | $119.00 | $4.27 – $4.44 | 2 |
| Macroscopic exam parasite CPT 87169 | $65.00 | $100.00 | $4.31 – $4.48 | 2 |
| Magnesium CPT 83735 | $31.20 | $48.00 | $6.70 – $6.97 | 2 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | $51.80 | $79.70 | $0.83 – $3.19 | 2 |
| Magnetic image bone marrow CPT 77084 | $1,421.55 | $2,187.00 | $225.74 – $234.77 | 3 |
| Makena, 10 mg HCPCS J1726 | not published | not published | $127.73 – $127.73 | 1 |
| Malaria antibody CPT 86750 | $16.25 | $25.00 | $13.19 – $13.72 | 2 |
| Manipulate finger w/anesth CPT 26340 | not published | not published | $1,521.28 – $1,582.14 | 3 |
| Manipulate wrist w/anesthes CPT 25259 | not published | not published | $1,521.28 – $1,582.14 | 3 |
| Manipulation chest wall demonstration/evaluation subsequent CPT 94668 | $161.85 | $249.00 | $125.87 – $130.91 | 3 |
| Manipulation chest wall initial demonstration/evaluation CPT 94667 | $161.85 | $249.00 | $125.87 – $130.91 | 3 |
| Manipulation of hip joint CPT 27275 | not published | not published | $1,521.28 – $1,582.14 | 3 |
| Manipulation of spine CPT 22505 | not published | not published | $1,521.28 – $1,582.14 | 3 |
| Manipulat palm cord post inj CPT 26341 | not published | not published | $233.37 – $242.70 | 3 |
| Mannitol 12.5 gm/50 ml inj HCPCS J2150 | not published | not published | $4.31 – $16.51 | 2 |
| Mannitol for inhaler HCPCS J7665 | not published | not published | $42.77 – $42.77 | 1 |
| Manual diff wbc count b-coat CPT 85009 | not published | not published | $5.07 – $5.27 | 2 |
| Margetuximab-cmkb 25 mg/ml intravenous solution HCPCS J9353 | not published | not published | $52.49 – $321.10 | 4 |
| Marker biop eviva buckle ss HCPCS A4648 | $209.64 | $322.53 | not published | 0 |
| Mastectomy partial CPT 19301 | not published | not published | $3,704.30 – $3,852.47 | 3 |
| Mast mod rad CPT 19307 | not published | not published | $6,282.11 – $6,533.39 | 3 |
| Mastoids complete CPT 70130 | $913.25 | $1,405.00 | $98.91 – $102.86 | 3 |
| Mastopexy CPT 19316 | not published | not published | $6,282.11 – $6,533.39 | 3 |
| Mast simple complete CPT 19303 | not published | not published | $6,282.11 – $6,533.39 | 3 |
| Matrion 1 sq cm HCPCS Q4201 | not published | not published | $117.73 – $122.44 | 3 |
| Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm HCPCS Q4166 | not published | not published | $34.95 – $122.44 | 3 |
| M.avium-intra dna amp prob CPT 87561 | not published | not published | $35.09 – $36.49 | 2 |
| M.avium-intra dna dir prob CPT 87560 | not published | not published | $27.29 – $28.38 | 2 |
| M.avium-intra dna quant CPT 87562 | not published | not published | $42.84 – $44.55 | 2 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $92.30 | $142.00 | $14.46 – $15.04 | 2 |
| Mayo aathr protein s free CPT 85306 | $127.40 | $196.00 | $15.32 – $15.93 | 2 |
| Mayo activated protein c resistance assay CPT 85307 | $117.65 | $181.00 | $15.32 – $15.93 | 2 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | $165.10 | $254.00 | $38.57 – $40.11 | 2 |
| Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation CPT 80321 | $85.15 | $131.00 | not published | 0 |
| Mayo alcohol definitive assay volatile screen CPT 80320 | $76.05 | $117.00 | not published | 0 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $46.80 | $72.00 | $14.78 – $15.37 | 2 |
| Mayo alkaloids definitive assay nicotine/cotinine CPT 80323 | $80.60 | $124.00 | not published | 0 |
| Mayo alpha 1 antitrypsin CPT 82103 | $68.25 | $105.00 | $13.44 – $13.98 | 2 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | $67.60 | $104.00 | $15.08 – $15.68 | 2 |
| Mayo amphu amphetamines definitive assay 3 or 4 urine CPT 80325 | $40.30 | $62.00 | not published | 0 |
| Mayo amphu methylenedioxyamphetamines definitive assay urine CPT 80359 | $44.85 | $69.00 | not published | 0 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | $517.40 | $796.00 | $121.63 – $126.50 | 2 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $534.30 | $822.00 | $91.66 – $95.33 | 2 |
| Mayo analysis gene smn1 dosage/deletion CPT 81329 | $702.00 | $1,080.00 | $137.00 – $142.48 | 2 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | $5,796.70 | $8,918.00 | $1,160.00 – $1,206.40 | 2 |
| Mayo androstenedione CPT 82157 | $65.65 | $101.00 | $29.28 – $30.45 | 2 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $133.90 | $206.00 | $14.60 – $15.18 | 2 |
| Mayo antithrombin iii antigen CPT 85301 | $93.60 | $144.00 | $10.81 – $11.24 | 2 |
| Mayo aspergillus fumigatus antibody CPT 86606 | $105.30 | $162.00 | $15.05 – $15.65 | 2 |
| Mayo avwpr vw factor activity CPT 85397 | $194.35 | $299.00 | $30.86 – $32.09 | 2 |
| Mayo babpb infectious agent nucleic acid amplified probe babesia microti CPT 87469 | $237.25 | $365.00 | $35.09 – $36.49 | 2 |
| Mayo barbiturates definitive assay confirmation urine CPT 80345 | $95.55 | $147.00 | not published | 0 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | $180.05 | $277.00 | $10.18 – $10.59 | 2 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | $399.75 | $615.00 | $144.84 – $150.63 | 2 |
| Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative CPT 81208 | $497.25 | $765.00 | $214.62 – $223.20 | 2 |
| Mayo blastomyces antibody immunodiffusion CPT 86612 | $69.55 | $107.00 | $12.90 – $13.42 | 2 |
| Mayo bnzu sedative hypnotics definitive urine CPT 80368 | $99.45 | $153.00 | not published | 0 |
| Mayo bordetella pertussis antibody igg CPT 86615 | $140.40 | $216.00 | $13.19 – $13.72 | 2 |
| Mayo brcmg brucella antibody igm CPT 86622 | $78.65 | $121.00 | $8.93 – $9.29 | 2 |
| Mayo c1 esterase inhibitor CPT 83883 | $61.10 | $94.00 | $13.60 – $14.14 | 2 |
| Mayo cannabinoids natural definitive assay thc confirmation urine CPT 80349 | $501.15 | $771.00 | not published | 0 |
| Mayo carnitine total and free quantitative each specimen plasma CPT 82379 | $179.40 | $276.00 | $16.87 – $17.54 | 2 |
| Mayo cd20b mononuclear cell antigen nos quantitative each CPT 86356 | $263.25 | $405.00 | $26.78 – $27.85 | 2 |
| Mayo cdcom hla class ii typing low resolution one locus each CPT 81376 | $193.05 | $297.00 | $122.22 – $127.11 | 2 |
| Mayo ceruloplasmin CPT 82390 | $63.05 | $97.00 | $10.74 – $11.17 | 2 |
| Mayo chemiluminescent parathyroid related peptide CPT 82397 | $137.15 | $211.00 | $14.12 – $14.68 | 2 |
| Mayo chikv chikungunya antibodies igg CPT 86790 | $335.40 | $516.00 | $12.88 – $13.40 | 2 |
| Mayo chlap chlamydia pneumoniae antibody igg CPT 86631 | $94.90 | $146.00 | $11.82 – $12.29 | 2 |
| Mayo chlap chlamydia pneumoniae antibody igm CPT 86632 | $66.95 | $103.00 | $12.68 – $13.19 | 2 |
| Mayo chrcb tissue culture non-neoplastic disorders lymphocyte CPT 88230 | $1,064.05 | $1,637.00 | $116.49 – $121.15 | 2 |
| Mayo chromium CPT 82495 | $149.50 | $230.00 | $20.28 – $21.09 | 2 |
| Mayo cocaine definitive assay confirmation urine CPT 80353 | $95.55 | $147.00 | not published | 0 |
| Mayo coccidioides antibody CPT 86635 | $70.85 | $109.00 | $11.47 – $11.93 | 2 |
| Mayo cocou cortisone urine CPT 82542 | $145.60 | $224.00 | $24.09 – $25.05 | 2 |
| Mayo cortisol free CPT 82530 | $102.70 | $158.00 | $16.71 – $17.38 | 2 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.